The Relationship between Diffusion-Weighted Magnetic Resonance Imaging Lesions and 24-Hour Rhythm Holter Findings in Patients with Cryptogenic Stroke

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dc.authoridÖzkan, Uğur/0000-0002-7552-7654
dc.authoridKorkmaz, Selçuk/0000-0003-4632-6850
dc.authoridKEHAYA, Sezgin/0000-0002-9608-9278
dc.authoridKEHAYA, Sezgin/0000-0002-9608-9278
dc.authoridKEHAYA, Sezgin/0000-0002-9608-9278
dc.authoridKaya, Caglar/0000-0002-2968-5352
dc.authoridGURDOGAN, Muhammet/0000-0001-5650-9066
dc.authorwosidÖzkan, Uğur/ACR-6091-2022
dc.authorwosidKorkmaz, Selçuk/AAU-4677-2020
dc.authorwosidKEHAYA, Sezgin/GVU-6069-2022
dc.authorwosidKEHAYA, Sezgin/N-9995-2017
dc.authorwosidKEHAYA, Sezgin/P-6106-2019
dc.authorwosidKaya, Caglar/GSN-9700-2022
dc.authorwosidAltay, Servet/C-1387-2018
dc.contributor.authorGurdogan, Muhammet
dc.contributor.authorKehaya, Sezgin
dc.contributor.authorKorkmaz, Selcuk
dc.contributor.authorAltay, Servet
dc.contributor.authorOzkan, Ugur
dc.contributor.authorKaya, Caglar
dc.date.accessioned2024-06-12T10:58:55Z
dc.date.available2024-06-12T10:58:55Z
dc.date.issued2019
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground and objectives: Cranial magnetic resonance imaging findings of patients considered to be cryptogenic stroke may be useful in determining the clinical and prognostic significance of arrhythmias, such as atrial premature beats and atrial run attacks, that are frequently encountered in rhythm Holter analysis. This study was conducted to investigate the relationship between short atrial runs and frequent premature atrial contractions detected in Holter monitors and infarct distributions in cranial magnetic resonance imaging of patients diagnosed with cryptogenic stroke. Materials and Methods: We enrolled the patients with acute ischemic stroke whose etiology were undetermined. We divided the patients in two groups according to diffusion-weighted magnetic resonance imaging as single or multiple vascular territory acute infarcts. The demographic, clinical, laboratory, echocardiographic, and rhythm Holter analyses were compared. Results: The study investigated 106 patients diagnosed with cryptogenic stroke. Acute cerebral infarctions were detected in 31% of the investigated patients in multiple territories and in 69% in a single territory. In multivariate logistic regression analysis, the total premature atrial contraction count (OR = 1.002, 95% CI: 1.001-1.004, p = 0.001) and short atrial run count (OR = 1.086, 95% CI: 1.021-1.155, p = 0.008) were found as independent variables that could distinguish between infarctions in a single or in multiple vascular territories. Conclusions: Rhythm Holter monitoring of patients with infarcts detected in multiple vascular territories showed significantly higher premature atrial contractions and short atrial run attacks. More effort should be devoted to the identification of cardioembolic etiology in cryptogenic stroke patients with concurrent acute infarcts in the multiple vascular territories of the brain.en_US
dc.identifier.doi10.3390/medicina55020038
dc.identifier.issn1010-660X
dc.identifier.issn1648-9144
dc.identifier.issue2en_US
dc.identifier.pmid30720741en_US
dc.identifier.scopus2-s2.0-85061133466en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.3390/medicina55020038
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20248
dc.identifier.volume55en_US
dc.identifier.wosWOS:000460170700018en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMdpien_US
dc.relation.ispartofMedicina-Lithuaniaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCryptogenic Strokeen_US
dc.subjectCardioembolismen_US
dc.subjectPremature Atrial Contractionen_US
dc.subjectAtrial Runen_US
dc.subjectAcute Ischemic-Strokeen_US
dc.subjectC-Reactive Proteinen_US
dc.subjectAtrial-Fibrillationen_US
dc.subjectRisk-Factorsen_US
dc.subjectPredicten_US
dc.subjectAssociationen_US
dc.subjectGuidelinesen_US
dc.subjectManagementen_US
dc.subjectPatternsen_US
dc.subjectInfarctsen_US
dc.titleThe Relationship between Diffusion-Weighted Magnetic Resonance Imaging Lesions and 24-Hour Rhythm Holter Findings in Patients with Cryptogenic Strokeen_US
dc.typeArticleen_US

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